MEDICARE: HOME CARE PHARMACY INC NC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	05976	NC
2	332B00000X	Durable Medical Equipment & Medical Supplies	05976	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	03953	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528071222
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME CARE PHARMACY INC NC

Provider Business Mailing Address
First Line	:	5037 HALIFAX ROAD
Second Line	:	PO BOX 1070 STE N
City	:	HALIFAX
State	:	VA
Zip	:	24553-3185
Country	:	US
Telephone Number	:	434-572-4274
Fax Number	:	434-572-6889

Provider Business Practice Location Address
First Line	:	104 PARK AVENUE
Second Line	:
City	:	SANFORD
State	:	NC
Zip	:	27330-4027
Country	:	US
Telephone Number	:	800-948-3918
Fax Number	:	919-775-1360

Authorized Official
Title or Position	:	VP
Name	:	MR. WAYNE E STANFIELD
Credential	:
Telephone Number	:	434-572-4274

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	09/11/2025

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